LAPU-LAPU CITY COLLEGE Republic of the Philippines

STEC, Basak, Lapu-Lapu City LAPU-LAPU CITY COLLEGE

Tel. No.: 268-4229
STEC, Basak, Lapu-Lapu City
ON-THE-JOB TRAINING (OJT ) FORM Tel. No.268-4229

Student’s Name: Date: _____ __

Course/Year & Section: Time In: Time Out: _ _
Company’s Name: Total No. Hours: __________ _____
COLLEGE OF TECHNOLOGY
Department/Area: _ __ Student-OJT Job Designation: _ _____

OJT DAILY ACTIVITIES

ON-THE-JOB TRAINING PROGRAM
No. List of OJT Daily Activities Status/Remarks
DAILY ACTIVITIES

Bachelor of Science in Industrial Technology (BSIT)

Major in Computer/ Electronics Technology

STUDENT-TRAINEE

DAILY ACTIVITIES REPORT

Observations/Comments/Recommendations:

STUDENT’S NAME : ___________________________________

COURSE & YEAR/SECTION: ____________________-_______________

Checked by: Date:

COMPANY’S NAME (HTE) : ___________________________________

_______________ TRAINING PERIOD : __________________________________

Company Supervisor’s/ OJT Coordinator’s Printed Name & Signature
 ON-THE-JOB TRAINING PROGRAM LAPU-LAPU CITY COLLEGE
STEC, Basak, Lapu-Lapu City
Tel. No.: 268-4229
REQUIREMENTS:
ON-THE-JOB TRAINING (OJT ) FORM
1. Prospectus with GRADES/EVALUATION
Student’s Name: Date: __ ___
2. Attendance Slip Pre-Orientation Course/Year & Section: Time In: Time Out: _ _
Company’s Name: Total No. Hours: _____ __ ___ _____
3. RESUME/2x2Colored picture white background Department/Area: _ __ Student-OJT Job Designation: _ _
4. OJT White/Blue Polo Shirt, Black Slacks, and Leather Shoes.
5. Health Card: OJT DAILY ACTIVITIES
a. Stool
b. Urinalysis No. List of OJT Daily Activities Status/Remarks

c. Complete Blood Count (CBC)

d. Chest X-Ray
e. Hepatitis Test
f. Drug Test
g. Pregnancy Test for Female

NOTE: Submit A to D at:

City Health Department
Lapu-Lapu City Hall
Pusok, Lapu-Lapu City
6. NBI Clearance
7. Community Tax Clearance
8. School Waiver-1st week of Duty
9. MOA 1st week of Duty
10. Photocopy of Study load for OJT

AFTER ALL REQUIREMENTS ARE SUBMITTED, ENDORSEMENT LETTER

WILL BE GIVEN SIGNED BY THE DEAN OF COLLEGE OF
TECHNOLOGY.
Observations/Comments/Recommendations:

Checked by: Date:

________________
Company Supervisor’s/ OJT Coordinator’s Printed Name & Signature
 LAPU-LAPU CITY COLLEGE STUDENT-TRAINEE INFORMATION SHEET
STEC, Basak, Lapu-Lapu City
Tel. No.: 268-4229
PERSONAL DATA:
ON-THE-JOB TRAINING (OJT ) FORM

Student’s Name: Date: _____ __ (Surname) (First Name) (Middle Name)

Course/Year & Section: Time In: Time Out: _ _
Company’s Name: Total No. Hours: __________ _____ Present Address:
Department/Area: _ __ Student-OJT Job Designation: _ _____
Provincial Address:
OJT DAILY ACTIVITIES
Telephone No.: _______ _____ Mobile No.: ___ ____________
No. List of OJT Daily Activities Status/Remarks
Date of Birth: ______________ Age: ___________
Status: ____________ Blood Type: ____________
Height: _________ Weight: ____________
Religion: __________________ Citizenship: _____________
FAMILY DATA:
Father’s Name: ___________________________
Occupation: _______________________
Mother’s Name: __________________________
Occupation: _______________________
Parent’s Address: _____________________________
Telephone No.: ______________________
Present Guardian: ________________________
Relationship: ______________________
Address: ______________________________
Telephone No.: _________________________

IN CASE OF EMERGENCY, PLEASE CONTACT:

Name: ___________________________
Observations/Comments/Recommendations:
Relationship: ____________ Telephone No. _________________
Address: ____________________________

_______________________
Checked by: Date: (Student’s Signature)
_______________
Company Supervisor’s/ OJT Coordinator’s Printed Name & Signature
 COMPANY INFORMATION SHEET LAPU-LAPU CITY COLLEGE
STEC, Basak, Lapu-Lapu City
Tel. No.: 268-4229

ON-THE-JOB TRAINING (OJT ) FORM

Name of Company: _______________________
Student’s Name: Date: __ ___
Address: ________________________________ Course/Year & Section: Time In: Time Out: _ _
Company’s Name: Total No. Hours: _____ __ ___ _____
____________________________ Department/Area: _ __ Student-OJT Job Designation: _ _
____________________________
Telephone No.: ________________________ OJT DAILY ACTIVITIES

Fax Number: __________________________

No. List of OJT Daily Activities Status/Remarks

Training Coordinator: ______________________

HR/Manager ______________________

Contact Number: ______________________

Identification Number: __________________
(SSS, TIN, Co.ID)

COMPANY classification: (please check)

( ) Industry
( ) Website/Software Provider
( ) Government/Public Institution
( ) School
Observations/Comments/Recommendations:
( ) Others
Please Specify
__________________________________

Checked by: Date:

________________
Company Supervisor’s/ OJT Coordinator’s Printed Name & Signature
 LAPU-LAPU CITY COLLEGE LAPU-LAPU CITY COLLEGE
STEC, Basak, Lapu-Lapu City STEC, Basak, Lapu-Lapu City
Tel. No.: 268-4229 Tel. No.: 268-4229

ON-THE-JOB TRAINING (OJT) FORM ON-THE-JOB TRAINING (OJT) FORM

Student’s Name: Date: _____ __ Student’s Name: Date: __ ___

Course/Year & Section: Time In: Time Out: _ _ Course/Year & Section: Time In: Time Out: _ _
Company’s Name: Total No. Hours: __________ _____ Company’s Name: Total No. Hours: _____ __ ___ _____
Department/Area: _ __ Student-OJT Job Designation: _ _____ Department/Area: _ __ Student-OJT Job Designation: _ _

OJT DAILY ACTIVITIES OJT DAILY ACTIVITIES

No. List of OJT Daily Activities Status/Remarks No. List of OJT Daily Activities Status/Remarks

Observations/Comments/Recommendations: Observations/Comments/Recommendations:

Checked by: Date: Checked by: Date:

_______________ ________________
Company Supervisor’s/ OJT Coordinator’s Printed Name & Signature Company Supervisor’s/ OJT Coordinator’s Printed Name & Signature